Organization
FALLON MEDICAL COMPLEX INC
Active
Parent organization
FALLON MEDICAL COMPLEX INC
Other names
Wibaux Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
FALLON MEDICAL COMPLEX INC
Authorized official
SELENA R NELSON (CFO)
(406) 778-5103
Entity
Organization
Contact information
Practice address
710 DRAKE STREET, WIBAUX, MT 59353
(406) 778-2833
(406) 778-5155
Mailing address
PO BOX 1119, 202 SOUTH 4TH STREET WEST, BAKER, MT 59313-1119
(406) 778-2833
(406) 778-5155
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2006
Last updated
05/09/2008
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